Adult Tonsil Surgery Melbourne

Adult tonsillectomy, performed by experienced ENT surgeons Dr Simon Braham and Dr Stephen Kleid, can relieve chronic throat infections, sleep apnoea, and tonsil stones. At Melbourne ENT, we provide personalised care from consultation through to recovery, ensuring consistency and clarity throughout your treatment.

What is Adult Tonsil Surgery?

Tonsillectomy involves removing the two lymphatic tissues at the back of the throat. It is typically recommended for:

  • Recurrent tonsillitis
  • Obstructive sleep apnoea
  • Tonsil stones (tonsilloliths)
  • Suspicious or abnormal tonsil growths

Benefits include fewer infections, better sleep, clearer speech, and improved overall wellbeing. Histopathology is performed if tissue changes are found.

Who Needs It?

Surgery is usually advised for adults experiencing:

  • Frequent throat infections despite treatment
  • Enlarged tonsils causing snoring or breathing issues
  • Persistent bad breath or discomfort from tonsil stones
  • Abnormal growths needing examination

Benefits of Surgery

Most patients experience:

  • Fewer infections and antibiotics
  • Better sleep and energy
  • Improved breathing and swallowing
  • Relief from bad breath and tonsil discomfort
  • Peace of mind from removing abnormal tissue

What to Expect: Consultation

Your consultation includes:

  • Thorough review of symptoms and medical history
  • Physical exam of throat and neck
  • Additional tests if needed (such as a sleep study, endoscopy or imaging)
  • Detailed discussion of treatment options, risks, and recovery

How is Tonsillectomy Surgery Performed

Tonsillectomy is performed under general anaesthesia in a fully equipped surgical facility, ensuring optimal safety and comfort for the patient. The procedure typically takes between 30 and 60 minutes. The surgeon accesses the tonsils through the mouth using a specialised instrument called a mouth gag to keep the area open. The tonsils are then carefully separated from the surrounding tissue and removed using one of several available techniques.

Benefits of Coblation – the modern technique for Tonsil Surgery

Electrocautery, the old ‘gold standard’ technique, uses heat to excise and cauterise simultaneously, which reduces intraoperative bleeding more than a steel scalpel, but the heat causes more postoperative swelling. 

Coblation Tonsillectomy, a newer surgical method, utilises radiofrequency (RF) energy to dissolve tissue at much lower temperatures, resulting in less swelling and thus less pain, less bleeding and faster healing. Once tonsils are removed, the patient is monitored during recovery before being discharged the same day or after a short hospital stay. The post operative bleeding rates with Coablation are lower than electrocautery. The coablator is a single use instrument that costs approx $400, this extra cost is usually covered by private health insurance. The Coablator is generally not available in public hospitals. 

Recovery After Tonsillectomy

The anaesthetist who is an expert in pain management will prescribe medications for pain and swelling to help you get through this period. It’s important to follow the anaesthetist plan carefully for the easiest recovery. The anesthetist will be available for any help or queries in the recovery period.  Staying hydrated and resting at home is crucial in this period.for children  Avoiding people sick with a virus or running around and getting excited is important to avoid bleeding. 

After the surgery you will be transferred to the ward and observed by the nursing staff overnight. You will usually have a comfortable single room with en-suite. The pharmacist and nursing staff will explain the discharge medication again and make sure you are comfortable with the discharge instructions, are eating comfortably and liaise with your surgeon and anesthetist as needed. The staff are very experienced with the recovery following tonsillectomy and are an excellent resource. You will be given a contact number to call if you have any questions, no matter how minor, you can call 24 hours a day. You can eat anything you feel like but we recommend avoiding spicy or acidic food and eat/drink cold items to reduce swelling. Adults can eat ice cream too!

By the end of the first week, most patients begin to feel gradual improvement. Scabs form where the tonsils were removed and typically slough off around day 7 to 10. This phase may involve minor bleeding, which is usually self-limiting but requires attention if persistent. Maintaining hydration and eating soft, cool foods can help minimise discomfort and reduce complications.

By the second week, many individuals are ready to resume normal eating habits and return to work or school, although physical exertion should still be avoided for a few more days. A postoperative check-up by phone then in person if needed is arranged prior to discharge. The overall recovery period is around 10 to 14 days, and our team provides support and guidance throughout to ensure a smooth recovery. If you have any concerns with pain management please contact your anaesthetist- they are the best resource! 

Risks and Complications

Risks include early or delayed bleeding, which may require medical attention. Infections are rare and treatable with antibiotics. Temporary changes in voice or taste and mild reactions to anaesthesia can occur.

In the unlikely event of severe bleeding please call 000

Costs and Medicare Coverage

Tonsillectomy qualifies for Medicare item 41793. Most private health funds cover it under hospital insurance. A detailed quote will outline surgeon and anaesthetist fees, hospital costs, and pathology charges. Self-funded options are available for uninsured patients.

FAQs About Adult Tonsil Surgery

Can tonsillectomy in adults affect my voice or singing ability?

Yes, some patients notice temporary changes in their voice, particularly in tone and resonance. This is usually due to inflammation or altered muscle use during healing. For singers or professional voice users, a full recovery period and possible voice therapy may be advised.

Is there an ideal time of year to have tonsil surgery?

Some adults choose to schedule surgery in cooler months to reduce the risk of dehydration or during quieter work periods. While timing can be flexible, it’s best to avoid peak flu seasons and ensure you have support during your recovery.

Will my sense of taste change permanently after surgery?

A small number of patients report a temporary change in taste sensation due to nerve involvement near the tonsils. In nearly all cases, taste returns to normal within a few weeks to months.

Could untreated tonsil problems lead to more serious issues over time?

Yes, chronic tonsil infections can lead to abscesses, systemic inflammation, and in rare cases, complications affecting the heart or kidneys. Enlarged tonsils can also contribute to long-term sleep and cardiovascular problems if sleep apnoea is present.

How will I know if I’m swallowing blood after surgery?

If you experience a metallic taste, notice dark or red discoloration in your saliva, or feel nauseated with dark vomit, you may be swallowing blood. It’s important to alert your doctor or seek immediate care if this occurs.

Is there a risk that my tonsils could grow back?

Complete regrowth is extremely rare in adults. In cases where only part of the tonsil is removed or residual lymph tissue remains, some regrowth can occur, but it’s uncommon and usually does not require further surgery.

How soon after surgery can I return to speaking normally?

Most adults find their voice feels strained or uncomfortable for about a week. Gentle speaking is encouraged after the first few days, and most people return to their usual speaking habits within two weeks.

Sources:

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Recovery from a tonsillectomy is worse for adults than children but generally follows a well-understood course. The first 2-3 days are generally not too bad as the surgeons use long acting local anaesthetic to make the tonsil bed numb, unfortunately as this wears off and the swelling increases the middle 3 days are the most uncomfortable, with throat and referred ear pain being common due to shared nerve pathways. 

If you suffer from chronic throat infections, obstructive sleep apnoea, or recurring tonsil stones, adult tonsil surgery could provide lasting relief. Our team is here to support you from the first appointment through to full recovery. Please call or contact us to schedule your comprehensive consultation at Melbourne ENT. Your health and comfort are our priority.

Why Choose a Melbourne ENT Surgeon

If you are experiencing chronic throat infections, sleep apnoea, or persistent tonsil problems, adult tonsil surgery may offer lasting relief. To book a consultation, please contact Dr Simon Braham at Melbourne ENT on (03) 9038 1311 or visit his website, or contact Dr Stephen Kleid on (03) 9038 1630 or visit his website.

Further Reading

Why Choose Dr Kleid ?

Dr Stephen Kleid

Dr Stephen Kleid,
Melbourne ENT Surgeon
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Dr Stephen Kleid is an experienced ENT Surgeon (Otolaryngologist) based in Melbourne with a passion for Septo-rhinoplasty, Septoplasty and a strong interest in Rhinoplasty Revision.

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Qualifications

Dr Kleid’s Procedures

Nose Surgery
ENT Surgery
Cancer Surgery

Why Choose Dr Braham ?

Dr Simon Braham,
Melbourne ENT Surgeon
MED0001144757

Dr Simon Braham MBBS (Hons) FRACS is an experienced Ear, Nose and Throat ENT Surgeon (Otolaryngologist) based in Melbourne, performing tonsil, grommet and sinus surgery for children & adults. He helps patients with breathing issues, snoring concerns and sleep disturbances.

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Dr Braham’s Procedures

Nose Surgery
ENT Surgery

How can we help?

The Melbourne ENT Team takes pleasure in assisting you with any questions when considering a plastic surgery procedure. Please call the St Kilda East clinic in Melbourne between 9am – 5 pm on Weekdays.

Phone or Email the team at Melbourne ENT.

What Next?

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Want more information about your Procedure?

  • Please read our website and blogs to find out more about your procedure and concerns
  • For more information about pricing and payment methods, please visit our page on Surgery Payment Options.
  • Talk to our Patient Care Team from 9 am to 5 pm Monday to Friday
recovery

What to Bring to Your Consultation

  • We encourage you to bring a friend or family member to accompany you, as they can provide an extra perspective and support throughout the process.
  • It is important to take thorough notes and carefully review all the documents provided to you.
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How to Book a Consultation

  • A valid medical referral from your GP or Specialist is necessary to see a surgeon for a consultation.
  • Check our pricing page
  • Please contact us to book your consultation.